Presented By Salaya Phunsiri EVS June 30, 2000 MARKETING RESEARCH FOR HIV/AIDS DRUG : THAILAND

AIDS in Thailand AIDS Data from WHO by the year 2000  12 million HIV positive  35 % dying per hour  95,000 children <15 yr as orphans  46,000 Thais will die of AIDs in yr 2000

AIDS cases Year Distribution of AIDS Cases in Thailand September April 2000

Occupation AIDS cases Distribution of AIDS Cases by Occupation and Sex September April 2000

 Prostitution is illegal, yet police turn and blind eye  20 % of Thailand’s prostitution takes place with foreign men visiting Thailand  75 % of all Thai men visit prostitutes or have “lesser wives” Prostitution’s Status Information

Prostitution’s Status Information (Con’d)  87 % of all women & children in prostitution in Chiang Rai and Chiang Mai are HIV positive  > 2,000,000 women & children in prostitution, of which 800,000 are children age < 15 and 20% of these children are boys

Prostitution’s Status Information (Con’d)  Many young girls are sold by their parents into prostitution  Some children are kidnapped/ deceived into prostitution  Children who are HIV positive have been left out in the forest to die  Young girls whose been rescued from brothels have been resold again

Prostitution’s Status Information (Con’d)  HIV+ children returning to Burma have been shot or injected with cyanide  Because of HIV scare, girls are being forced into prostitution at younger and younger ages

Risk Factor AIDS cases Distribution of AIDS Cases by Risk Factor September 1984-April 2000

Distribution of Sexual Behavior AIDS cases Sexual Behavior

% Time Brothel - based Non brothel-based Combined Source : Sentinel Serosurveillance, Division of Epidemiology, Ministry of Public Health. Remark: Switching from bi-annually (June and December) to annually in June since 1995 HIV Prevalence among Commercial Sex Workers (CSWs), Thailand

% Time Male CSWs Male STD Source : Sentinel Serosurveillance, Division of Epidemiology, Ministry of Public Health. Remark: Switching from bi-annually (June and December) to annually in June since 1995 Sentinel sites for Male CSWs were only 3-5 provinces HIV Prevalence among Male Commercial Sex Workers (CSWs), and Male at STD Clinics Thailand

HIV Prevalence among Injecting Drug Users(IDUs) at Treatement Clinic Thailand Source : Sentinel Serosurveillance, Division of Epidemiology, Ministry of Public Health. Remark: Switching from bi-annually (June and December) to annually in June since 1995 % Ti me

HIV Prevalence among Pregnant Women, Male Conscripts, and Donated Blood, Thailand Source : Sentinel Serosurveillance, Division of Epidemiology, Ministry of Public Health. Remark: Switching from bi-annually (June and December) to annually in June since 1995 Conscript data in November of each year since 1995 were not shown here % Time Pregnant women Donated blood Conscript ( at 21 year old male)

Drugs Used Nucleoside -AZT -3TC Non-nucleoside -DDI -D4T Protease inhibitor -Indivir -Efarenz

Drugs Used  Traditional herbs  Go to the temple for meditation  Black magic

Vaccines Trial  gp 120 vaccines are not useful in preventing HIV infection  > 24 AIDS vaccines have been tested in small-scale human trials